Diet for opisthorchiasis: prohibited and permitted foods


Among all parasitic liver diseases, one of the most dangerous is opisthorchiasis.

Opisthorchiasis is a disease caused by helminths - parasites that infect the cells of the liver and pancreas.

According to statistics, the number of people infected with opisthorchiasis in the modern world is more than 20 million people. Despite its widespread prevalence, the disease is considered well studied in medical practice. And although modern medicine knows several effective treatment regimens for the disease, many years of experience in combating this disease proves that diet for opisthorchiasis is of key importance in achieving a positive result.

General characteristics of the diet

When it comes to following a diet during opisthorchiasis, two questions are most often asked: what diet to follow and how long to stay on it. We will look at the features of the diet in this article, and as for its duration, it is at least 50 days.

It should be borne in mind that this is also preparation for treatment with specific anthelmintic drugs (biltricide, hloxyl), which is possible only after cleansing the body with antispasmodics and choleretic drugs against the background of proper nutrition.

The daily calorie content of food ranges from 2200 to 2500 kcal; The corresponding table will help you create a menu taking into account the calorie content of foods.

Food calorie table

Priority is given to foods rich in carbohydrates. The body should receive 350 g of carbohydrates per day, but fats (except for refractory ones) and proteins - no more than 90 g each.

It is very important to eat foods rich in carbohydrates such as bananas. 100 g of bananas contain 23 g of carbohydrates

Foods rich in cholesterol are excluded, as they stimulate the activity of the pancreas.

It is also necessary to try to reduce the cholesterol content in the body as much as possible, which is facilitated by increased intestinal motility - this is provided by fresh fruits and vegetables.

Another feature of the diet for opisthorchiasis is fractional meals, that is, you need to eat food six times a day, but in small portions, and only fresh, boiled or baked - other methods of preparation are excluded. Food should also be neither too hot nor too cold.

Increased consumption of clean water at a rate of at least 30 ml/1 kg of body weight (excluding other drinks) will help get rid of intoxication in the body.

It is recommended to maintain the same minimum consumption rate after completion of the drug course of treatment, this contributes to a faster recovery of the body.

The list of permitted and prohibited products in the treatment of opisthorchiasis is given below.

Symptoms of opisthorchiasis

Opisthorchiasis is characterized by the following symptoms:

  • fever;
  • elevated temperature;
  • apathetic state;
  • lack of appetite;
  • nagging muscle pain;
  • disruption of the gastrointestinal tract (nausea, vomiting, diarrhea);
  • Allergic reactions are possible.

A person can easily confuse the above symptoms with an infectious disease, so it is not possible to independently identify opisthorchiasis in a short time. If you notice the above symptoms, you should immediately contact a parasitologist or infectious disease doctor to make a correct diagnosis and prescribe a diet for the treatment of opisthorchiasis.

Causes and routes of infection with opisthorchiasis

A person can become infected with this disease in only one way - by eating contaminated fish. Worm larvae enter naturally into reservoirs, lakes, and rivers through human or animal feces. Snails often crawl around in the mud, feeding on plant debris stuck in it. It is through their contents that opisthorchiasis larvae enter the snail. Over the course of two weeks, the larva matures in the snail’s body, after which it emerges. It gets inside the fish through its scales.

When purchasing fish, pay attention to its smell and appearance. Fish is subject to high-quality heat treatment before consumption. If the larva enters the human body, it travels from the stomach to the intestines. Digestive juice breaks the egg shell, and the larva penetrates the liver. Maturation and reproduction of the adult occurs in the human liver.

List of approved products

Although any diet involves certain restrictions, a diet for opisthorchiasis allows you to eat not only nutritious and healthy, but also tasty, you just have to give up some familiar dishes in favor of others, much more healthy and also tasty.

So what can you do:

  • Meat products : lean dietary meat (for example, rabbit) and poultry; 2 milk sausages per week (good quality).
  • Fish : low-fat varieties, boiled or baked (the same applies to meat).
  • Eggs : steam omelette of 1 egg white per day is allowed.
  • Dairy products : low-fat milk and fermented milk products; fresh and low-fat cheeses; sour cream (no more than 30 ml/day).
  • First courses : only vegetarian - vegetable or milk soups.
  • Side dishes : crumbly porridge, except semolina (they perfectly activate the flow of bile); fresh or stewed vegetables.
  • Vegetables, greens : almost everything with some exceptions (see below).
  • Fruits, berries : sweet or neutral in taste; Dried fruits are allowed.
  • Bakery products : wheat or rye bread, but only yesterday’s bread or in the form of toast; unsweetened biscuits, unleavened dough products.
  • Sweets: sugar - no more than 10 g/day, honey - no more than 20 g/day.
  • Drinks : weak coffee with milk, weak black or green tea; fruit juices (preferably freshly squeezed), compotes and jelly from sweet fruits/dried fruits (homemade only); rosehip decoction (to restore immunity).
  • Butter, fat : no more than 50 g of butter or 50 ml of vegetable oil per day.

And don’t forget about the thermal regime: even permitted food, including drinks, should not be hot or cold.

Liver damage

After etching the liver, you should follow the following diet:

  • In the morning on an empty stomach, drink 250 ml of a decoction based on pumpkin seeds. Recipe: Grind 150 grams of pumpkin seeds (dry and roasted). Fill with water (300 ml). Simmer for 2 hours under the lid - the broth should not boil! Strain before use.
  • Breakfast consists of 150 g of pumpkin porridge and unsweetened tea.
  • At lunchtime - borscht with water or a large portion of salad with herbs.
  • Afternoon snack – chopped fruits or berries, topped with yogurt and sour cream.
  • For dinner - vegetable dishes cooked in a double boiler.

List of prohibited products

Drits Irina Alexandrovna. Parasitologist Helminth infections can lead to numerous health problems, shortening life by 15-25 years. Many parasites are extremely difficult to detect. They can be anywhere - in the blood, intestines, lungs, heart, brain. Symptoms of helminthic infestation can be confused with ARVI, gastrointestinal diseases and others. The main mistake in such cases is delay! If you suspect the presence of parasites, you need to contact a specialist. More information about modern methods of treating helminth infections is described in this interview with a doctor . If we talk about medications and self-treatment, then this antiparasitic complex .

Proper nutrition for opisthorchiasis excludes the consumption of the following foods:

  • Meat products : fatty meat and poultry, sausages, smoked meats, canned food.
  • Fish : fatty varieties, as well as salted, pickled, smoked and canned fish; caviar.
  • First courses : rich soups with meat or bone broth, as well as mushroom and fish first courses.
  • Eggs : yolk, as well as boiled and fried eggs.
  • Vegetables : sorrel, spinach, green onions, radishes, radishes, tomatoes.
  • Fruits, berries : sour.
  • Bakery products : fresh bread, any pastries.
  • Sweets : cakes, pastries, sweets, chocolate.
  • Drinks : strong coffee, cocoa, juices, compotes and smoothies from sour fruits and berries; carbonated drinks, including energy drinks.
  • Oil, fat : cooking fats, lard.

In addition, the following is prohibited:

  • alcohol even in the most limited quantities;
  • hot sauces and seasonings (pepper, mustard, horseradish, vinegar); marinades, pickles;
  • ice cream;
  • coffee from the machine.

Example of a daily menu

Doctors' advice

A diet for opisthorchiasis will provide adequate nutrition, because there are excellent recipes even for the most limited list of products.

And I would like to remind you: every time you indulge yourself and eat something from prohibited foods, you are thereby giving a gift to the helminths that have infected your body - strengthening their strength and helping them withstand the effects of drugs. Think about it: is a pork chop or a piece of cake worth it?

Don’t forget why you need a diet: its main task is to quickly cleanse the body of parasites and toxic products of their vital activity, as well as restore the normal functioning of internal organs and immunity.

After completion of treatment, you should maintain the same balanced diet and gradually add foods that are rich in fiber and improve intestinal function and bile drainage (plums, apples with peel, bananas, blueberries, etc.).

But in essence, this is a system of rational, balanced nutrition, which will allow you not only to get rid of dangerous helminthiasis, but also to maintain health, and for many, to lose weight.

Preventive measures

Many people, wanting to protect themselves from the possible threat of parasite infection and giardiasis, resort to traditional medicine recipes. The most popular methods involve the use of birch tar or aspen bark.

But experts recommend using the following methods as effective preventive measures:

  • Thoroughly cook or heat any fish for 15-25 minutes.
  • Do not give children river fish that has been fried or stewed for less than 20-30 minutes.
  • Salting of fish products lasts 2 weeks; they cannot be consumed until the end of this period.
  • Follow sanitary rules when handling and caring for pets.

Attention! If parasites are detected in one of the family members, he must be quarantined. You cannot use general hygiene products or eat from dishes that have not been sanitized.

Following a diet during treatment and as a preventive measure will support the body, help quickly restore damaged tissues and get rid of side effects. Therefore, the menu during therapy is selected by a specialist, monitored by him during the rehabilitation period and adjusted as he recovers.

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Diet food for children

To maintain the child's health, baby food should not contain harmful foods or foods high in various preservatives. In case of helminthiasis, diet is a necessary measure that should not be neglected. You should reduce the amount of fish and meat in your daily diet. Breakfast is the most nutritious meal of the day and should never be skipped. Any porridge rich in microelements will become an indispensable breakfast for the whole family, including a child suffering from parasites. Baked fruits are suitable as snacks: apples or pears.

During the lunch period, it is recommended to take vegetable soups and a glass of nutritious jelly. The fourth meal should not overload the child's intestines, so a handful of berries or fresh fruit will help satisfy the feeling of hunger. For dinner, baked lean fish and a healthy vegetable salad with fresh herbs are suitable. As soon as helminths begin to be eliminated from the child’s body, the symptoms of intoxication will intensify. To help a small patient endure unpleasant symptoms, clean water, which must be drunk regardless of food intake, will help. Fruit drinks and refreshing compotes that children will enjoy can diversify the daily diet.

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